Health

by khurram

A loaded pelvic colon may be misdiagnosed as a pelvic tumour. faeces indent on pressure.
Rectal examination
It is sometimes impossible to do a vaginal examination on a virgin with an anaesthetic but, by rectal examination, the size, position and mob of the uterus can be determined and any abnormal swelling felt. In ce patients it is essential to do a rectal as well as a vaginal examination. T . particularly important in cases of carcinoma of the cervix, for it is
to examine the parametrial cellular tissue more easily by rectal vaginal examination. The base of the broad ligaments and the utero ligaments can only be palpated rectally. A fmger in the rectum is si further back in the pelvic cavity and may detect a small tumour ill recto vaginal pouch which is uncertainly felt by vaginal palpation. A bined examination with one fmger in the vagina and one in the r may help to elucidate the physical signs in a difficult case.
Examination of the urinary organs
Urethra
The meatus should flfst be examined for redness, discharge or a The finger is next passed into the vagina to squeeze the urethra from forwards, and any discharge is examined. It should be spread as at' on a microscope slide, stained and examined for organisms. Swabs taken for culture.
Examination of the urine Catheterization, which carries the risk of introducing infection, is se required for gynaecological diagnosis. In most cases, collection of a stream specimen is adequate. The patient must be told exactly what
She should separate the labia with the fmgers of her left hand and pass a sterile swab moistened with sterile water over the meatus. (Ant' will interfere with the bacteriological examination.) The patient then urine and part of the stream is caught in a sterile container.
Many now believe that suprapubic bladder puncture is safer catheterization, and the bacteriological results are more reliable. For procedure the patient is told to hold her water until the bladder is
fortably full. A fme sterile needle is passed directly through the abdo wall just above the symphysis pubis into the bladder. After 5 or 10 urine have been withdrawn with a syringe, the patient immediatelye her bladder.
Whichever method is used for the collection of the specimen, essential that it is sent to the laboratory as soon as possible. Or multiply in urine if there is any delay, and a false estimate of the b logical population will be made.